Individual provider Active NPI

Tamiko Gaylin Smith, APRN

  • Family Nurse Practitioner
  • Corona, CA
National Provider Identifier
1902789274
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95036362 Issued in CA
Practice address
800 S Main St
Corona, CA 92882-3420
Phone
(951) 737-4343
NPI assigned
Jul 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95036362 CA Primary

Addresses

Primary practice location

800 S Main St
Corona, CA 92882-3420

Mailing address

PO Box 2103
Pomona, CA 91769-2103
Phone (215) 620-3749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251231001427 CA Practitioner - Nurse Practitioner 3072017623 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amir Alexander Rouhani MD Professional CorporationGroup PAC ID 8325551997, 3 clinicians
Fast Track Wound Care IncGroup PAC ID 6002339330, 3 clinicians
Prime Healthcare Ca PCGroup PAC ID 1658857669, 2 clinicians

Practice addresses (Care Compare)

Valencia, CA 91355
Phone (305) 984-6612

North Hollywood, CA 91606
Phone (747) 343-9350

6300 Wilshire Blvd
Suite 980
Los Angeles, CA 90048-5202
Phone (833) 368-8787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Ca, PC CurrentSince Dec 14, 2025 Accepting new patients
Tejaskumar Naik MD a Medical Corporation CurrentSince Jan 5, 2026 Accepting new patients
Fast Track Wound Care Inc CurrentSince Nov 1, 2025 Accepting new patients

Locations

2083 Compton Ave
Ste 103
Corona, CA 92881
Phone (601) 918-3286

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

6300 Wilshire Blvd
Ste 980
Los Angeles, CA 90048
Phone (310) 614-4644

12444 Victory Blvd
Ste 425
North Hollywood, CA 91606
Phone (747) 343-9350

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1902789274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2103",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917692103",
            "telephone_number": "215-620-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MAIN ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823420",
            "telephone_number": "951-737-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TAMIKO",
        "middle_name": "GAYLIN",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95036362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.